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Late dosage

Feb 9, 2013

Hi Doc!

Hope youre having a good day. I am taking Lamivudine Zidovudine and Lopinavir Ritonovir as my regimen. The reason is I am allergic to both Nevirapine and Efavirenz. Today I am 5 hours late to take my morning dose because my alarm clock did not wake me up. I cant remember the last time I was late taking my regimen.Will that expose me to possible resistance?

Also, although Im not looking forward to changing meds. Philippine Government subsidize out meds.But we only have 3 options to pair with lami/zido. either Nevirapine, Efav, lopinavir/ritonovir. Since I am mot resistant to Nevirapine and Efav (only allergic to it), In the event that I developed resistance to Lopinavir/Ritonovir, is it possible for me to take 1st line meds again which will be cheaper. Because by then, I have to pay for my own meds.

Hoping for your response

Thank you

Response from Dr. Young

Hi there and thanks for posting from the Philippines!

Being late on a single dose of medications will certainly not make your virus resistant.

So, don't worry at all over this- but do use the occasion to see if there's anything you might do to improve and strengthen your adherence to your medications and clinic appointments.

Be well, BY

hepatitis vaccination
Gratefruit and Stribild

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